Christen Angelich

Individual provider Active NPI Occupational Therapist · Malibu, CA

NPI 1942768080 · NPPES record last updated Mar 7, 2019

Key facts

NPI
1942768080
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
18681 (CA)
Practice address
28990 Pacific Coast Hwy Ste 220
Malibu, CA 90265-3944
Phone
(310) 456-0400
NPI assigned
Mar 7, 2019
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
18681CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Morgan Physical Therapy Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225X00000X 18681 CA Yes

Addresses

Primary practice location

28990 Pacific Coast Hwy Ste 220
Malibu, CA 90265-3944

Mailing address

508 N Robinwood Dr
Los Angeles, CA 90049-2330
Phone (310) 463-2876

Other practice location 1

3939 Landmark St
Culver City, CA 90232-2315
Phone (310) 840-0500 ext. 133

Other providers in Malibu, CA

All providers in Malibu, CA · Occupational Therapist in California

Sources for this page

Verify at the official NPI Registry.